| NPI | 1255225348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 36222TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 14226553-9934) |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2026-05-27 |